"Difficult to place" psychiatric patients.

Intensive rTMS applications in difficult to treat psychiatric patients: some cases.

Despite adherence to treatment guidelines, some patients are resistant to several psychopharmacological interventions. Guidelines to overcome treatment resistance are scarce and new treatment modalities are needed. When confronted with psychopharmacological failure, repetitive transcranial magnetic stimulation (rTMS) therapy can be considered. In these case series a combative high frequency (HF...

Prevention of Iodine Deficiency: Difficult to Implement, More Difficult to Sustain

Prevalence of Cigarette Smoking in Schizophrenic Patients Compared to Other Hospital Admitted Psychiatric Patients

Abstract Background: This study aimed to estimate the prevalence of cigarette smoking and some of the related factors among schizophrenic and other hospitalized psychiatric patients. Methods: This was a cross-sectional study on 120 patients hospitalized in Shahid Beheshti hospital in Kerman in 2005. Patients were equally devided in two groups of schizophrenia and other psychiatr...

Difficult intubation and outcomes in intubated patients admitted to intensive care unit

Background & Aims: Endotracheal intubation is commonly performed in the intensive care unit. Many international guidelines for difficult intubation management are available and the intensivists think that any endotracheal intubation in ICU is potentially difficult with several complications. Materials & Methods: After obtaining ethical approval, this descriptive and analytical study was cond...

Teaching medical learners to appreciate “difficult” patients.

During their training, medical students and residents will meet many types of patients, and not all of them will be easy to deal with. Some will be dependent, self-destructive, vague, or noncompliant. Each time our learners meet these patients, they will experience their own range of emotions, from anger to frustration to uncertainty. As teachers and experienced clinicians, we often take for gr...